Healthcare Provider Details

I. General information

NPI: 1194864744
Provider Name (Legal Business Name): KAREN ANN HOLT L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9295 E STOCKTON BLVD STE 10
ELK GROVE CA
95624-4096
US

IV. Provider business mailing address

8706 PLAYERS CT
ELK GROVE CA
95624-3100
US

V. Phone/Fax

Practice location:
  • Phone: 916-685-6380
  • Fax:
Mailing address:
  • Phone: 831-325-9789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 8775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: